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Individual
NICOLE MICHELLE RYE
Active
Individual
NICOLE MICHELLE RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC, GAMBP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161943
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
PG.00000069
OH
1041C0700X
Clinical Social Worker
Primary
I.2304566-SUPV
OH
Other
Enumeration date
08/29/2017
Last updated
10/24/2024
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